VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Vitality Living Arlington
3821 Wilson Boulevard
Arlington, VA 22203
(703) 294-6875

Current Inspector: Alexandra Roberts (804) 845-6956

Inspection Date: Oct. 20, 2025

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS 63.2 GENERAL PROVISIONS

Comments:

Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/20/20205 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 100 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 3 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Observed residents in the dining room eating lunch and listening to a guest playing the piano. Additional Comments/Discussion: None. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Alexandra Roberts, Licensing Inspector at 804-845-6956 or by email at Alexandra.N.Roberts@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-1040-A
Description:	Based on interview and record review, the facility failed to ensure doors leading to the outside shall have a system of security monitoring of residents with serious cognitive impairments, such as door alarms, cameras, constant staff oversight, security bracelets that are part of an alarm system, or delayed egress mechanisms. Evidence: 1. On 10/15/2025, Staff 3 reported via email to licensing staff that Resident 1 wandered off the premises approximately 0.3 miles at 6:30 a.m. 2. Upon review of the Resident 1?s record on 10/20/2025, Resident 1?s ISP (Dated:5/25/2025) and physical examination report (Dated: 9/18/2023) indicated the resident has serious cognitive impairment. 3. Resident 1?s UAI (dated: 5/24/2025) and ISP also documents the resident wanders. 4. Per Staff 3 and Resident 1?s ISP, at the time of the incident on 10/15/2025, Resident 1 had a wander guard placed. 5. During an interview with Staff 3, on 10/20/2025, the facility was unable to verify if the wander guard for Resident 1 to monitor exiting the facility was operational as there was no signal or alert upon the Resident exiting the building. Staff 3 confirmed that there were no cameras or door monitoring devices.
Plan of Correction:	1. Upon Resident #1?s return to Vitality Living Arlington, the resident was relocated to the community?s secured unit. Applicable documentation, including the Secure Placement Form in place. 2. Resident Service Plans are being reviewed by the Director of Wellness and designee to identify residents at risk for wandering, elopement, and falls. 3. The Executive Director or designee will review a random selection of residents identified as at risk to substantiate accuracy of their service plans. This review will occur monthly for 3 (three) months to verify ongoing compliance.
Standard #:	22VAC40-73-460-D
Description:	Based on interview and record review, the facility failed to provide supervision of resident schedules, care, and activities, including attention to specialized needs, such as prevention of falls and wandering from the premises. Evidence: 1. On 10/15/2025, licensing staff received via email an incident report from Staff 3 detailing that Resident 1 wandered off the premises approximately 0.3 miles at 6:30 a.m. Local temperature was noted to be 55 degrees during the time of the reported incident. 2. During inspection on 10/20/2025, Staff 1 informed licensing staff as well as noted within the incident report that a local business staff came on-site to the facility on 10/15/2025 around 8:00 a.m. to report that Resident 1 was currently at their place of business. The individual indicated that Resident 1 appeared in a T-Shirt and underwear with their walker. Staff 1 stated they then picked Resident 1 up in the facility bus and brought them back to the facility. 3. Resident 1?s UAI completed 5/24/2025 Psycho-social status indicates ?Wandering/passive ? Less than weekly?. 4. Resident 1?s ISP completed 5/25/2025 indicates ?severe impairment?, ?disoriented: All spheres, All times, ?Visual: Mild impairment?, ?minimal wandering issues? with a history of wandering and ?Needs protection and supervision because participant makes unsafe and inappropriate decisions?. 5. Resident 1?s record included ISP (Dated:5/25/2025) and physical examination report (Dated: 9/18/2023) indicating that they have serious cognitive impairment. 6. Following the reported incident on 10/15/2025, Resident 1 was moved to the facility?s safe, secured unit. The approval of placement form completed on 10/15/2025 also indicates serious cognitive impairment. 7. Staff 1 confirmed that Resident 1 was able to wander from the premises on 10/15/2025. Staff 1 was unable to verify that appropriate supervision was in place at the time to prevent Resident 1?s departure from the facility on 10/15/2025.
Plan of Correction:	1. Upon Resident #1?s return to Vitality Living Arlington, the resident was relocated to the community?s secured unit. Applicable documentation, including the Secure Placement Form in place 2. A community-wide inspection of exterior doors was completed to verify proper functionality and ensure that alarm panels and notification systems are fully operational and audible to staff. 3. The Executive Director or designee will review the Door Alarm Testing monthly for three (3) months to verify compliance.